| Lorraine E. Davis Md | |
| 
					109 Sidney Road Howes Cave NY 12092  | |
| (518) 868-2026 | |
| (518) 868-2027 | 
| Full Name | Lorraine E. Davis Md | 
|---|---|
| Speciality | Family Medicine | 
| Location | 109 Sidney Road, Howes Cave, New York | 
| Authorized Official Name and Position | Lorraine E Davis (OWNER) | 
| Authorized Official Contact | 5188682026 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lorraine E. Davis Md 109 Sidney Road Howes Cave NY 12092 Ph: (518) 868-2026  | Lorraine E. Davis Md 109 Sidney Road Howes Cave NY 12092 Ph: (518) 868-2026  | 
| NPI Number | 1912100736 | 
|---|---|
| Provider Enumeration Date | 06/08/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912100736 | NPI | - | NPPES | 
| 00597071 | Medicaid | NY | |
| 66E471 | Other | NY | EMPIRE BC-BS | 
| 993221 | Other | NY | MVP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 145901 (New York) | Primary |